Skip to main content
SpringerLink
Log in

Recent trends in adult-onset septic arthritis of the knee and hip: retrospective analysis of patients treated during the past 50 years

  • Original Article
  • Published:
Journal of Infection and Chemotherapy

Abstract

This study was a retrospective analysis of 53 adult patients with septic arthritis (SA) of the knee or hip treated during the years from 1955 to 2005 in Tottori University Hospital in Japan. Patients with postoperative infection, infection caused by trauma, and periprosthetic infection were excluded. The 50-year period between 1955 and 2005 was divided into five periods: there were 5 patients in the first decade, 9 in the second decade, 11 in the third decade, 10 in the fourth decade, and 18 in the fifth decade. All SA occurred in the knee until the fourth decade. Five cases of septic arthritis in the hip occurred in the fifth decade. In contrast to the decrease in direct infections (post intraarticular injection), hematogenous infections were observed to increase after 1986. The rate of SA caused by Staphylococcus aureus (including methicillin-resistant Staphylococcus aureus, MRSA) had been highest during the 50 years. Infections caused by MRSA, comprising 22% of all staphylococcal infection, occurred in the fifth decade. The numbers of patients with comorbid conditions such as diabetes increased during the 50-year period. This study indicated that patients with SA have been increasing in number. Furthermore, hematogenous SA has been increasing. The increase in occurrence of SA could result from increase in opportunistic infection, occurrence of SA of the hip, and increase in MRSA infection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Kaandorp CJ, van Schaardenburg D, Krijnen P, Habbema JD, van de Laar MA. Risk factors for septic arthritis in patients with joint disease. A prospective study. Arthritis Rheum. 1995;38:1819–25.

    Article  PubMed  CAS  Google Scholar 

  2. Jacobsson G, Dashti S, Wahlberg T, Andersson R. The epidemiology of and risk factors for invasive Staphylococcus aureus infections in western Sweden. Scand J Infect Dis. 2007;39:6–13.

    Article  PubMed  Google Scholar 

  3. Newman JH. Review of septic arthritis throughout the antibiotic era. Ann Rheum Dis. 1976;35:198–205.

    Article  PubMed  CAS  Google Scholar 

  4. Cooper C, Cawley MI. Bacterial arthritis in an English health district: a 10 year review. Ann Rheum Dis. 1986;45:458–63.

    Article  PubMed  CAS  Google Scholar 

  5. Evrard J, Soudrie B. Primary arthritis of the hip in adults. Int Orthop. 1993;17:367–74.

    Article  PubMed  CAS  Google Scholar 

  6. Morgan DS, Fisher D, Merianos A, Currie BJ. An 18 year clinical review of septic arthritis from tropical Australia. Epidemiol Infect. 1996;117:423–8.

    Article  PubMed  CAS  Google Scholar 

  7. Dubost JJ, Soubrier M, De Champs C, Ristori JM, Bussiére JL, Sauvezie B. No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis. 2002;61:267–9.

    Article  PubMed  CAS  Google Scholar 

  8. Geirsson AJ, Statkevicius S, Víkingsson A. Septic arthritis in Iceland 1990–2002: increasing incidence due to iatrogenic infections. Ann Rheum Dis. 2008;67:638–43.

    Article  PubMed  CAS  Google Scholar 

  9. Masuda K, Masuda R, Nishi J, Tokuda K, Yoshinaga M, Miyata K. Incidences of nasopharyngeal colonization of respiratory bacterial pathogens in Japanese children attending day-care centers. Pediatr Int. 2002;44:376–80.

    Article  PubMed  Google Scholar 

  10. Yamagishi Y, Togawa M, Shiomi M. Septic arthritis and acute hematogenous osteomyelitis in childhood at a tertiary hospital in Japan. Pediatr Int. 2009;51:371–6.

    Article  PubMed  Google Scholar 

  11. Le Dantec L, Maury F, Flipo RM, Laskri S, Cortet B, Duquesnoy B, Delcambre B. Peripheral pyogenic arthritis. A study of one hundred seventy-nine cases. Rev Rhum Engl Ed. 1996;63:103–10.

    PubMed  CAS  Google Scholar 

  12. Ryan MJ, Kavanagh R, Wall PG, Hazleman BL. Bacterial joint infections in England and Wales: analysis of bacterial isolates over a four year period. Br J Rheumatol. 1997;36:370–3.

    Article  PubMed  CAS  Google Scholar 

  13. Kaandorp CJ, Dinant HJ, van de Laar MA, Moens HJ, Prins AP, Dijkmans BA. Incidence and sources of native and prosthetic joint infection: a community based prospective survey. Ann Rheum Dis. 1997;56:470–5.

    Article  PubMed  CAS  Google Scholar 

  14. Gupta MN, Sturrock RD, Field M. A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology. 2001;40:24–30.

    Article  PubMed  CAS  Google Scholar 

  15. Yeargan SA 3rd, Perry JJ, Kane TJ 3rd, Richardson AB. Hematogenous septic arthritis of the adult hip. Orthopedics. 2003;26:771–6.

    PubMed  Google Scholar 

  16. Bulmer JH. Septic arthritis of the hip in adults. J Bone Joint Surg Br. 1966;48:289–98.

    PubMed  CAS  Google Scholar 

  17. Kitamura S, Nakayama Y, Shirai Y, Hashiguchi H, Kim R. Septic arthritis of the hip associated with atopic dermatitis. J Nippon Med School. 2000;67:464–7.

    Article  CAS  Google Scholar 

  18. Yamamoto Y, Ide T, Hashisuka N, Maezaki S, Akamatsu N. Arthroscopic surgery for septic arthritis of the hip joint in 4 adults. Arthroscopy. 2001;17:290–7.

    Article  PubMed  Google Scholar 

  19. Charalambous CP, Tryfonidis M, Sadiq S, Hirst P, Paul A. Septic arthritis following intra-articular steroid injection of the knee—a survey of current practice regarding antiseptic technique used during intra-articular steroid injection of the knee. Clin Rheumatol. 2003;22:386–90.

    Article  PubMed  CAS  Google Scholar 

  20. Al-Nammari SS, Bobak P, Venkatesh R. Methicillin resistant Staphylococcus aureus versus methicillin sensitive Staphylococcus aureus adult haematogenous septic arthritis. Arch Orthop Trauma Surg. 2007;127:537–42.

    Article  PubMed  Google Scholar 

  21. Frazee BW, Fee C, Lambert L. How common is MRSA in adult septic arthritis? Ann Emerg Med. 2009;54:695–700.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Medicine of Sensory and Motor Organs, Division of Orthopaedic Surgery, Faculty of Medicine, Tottori University, 36-1 Nishi-machi, Yonago, Tottori, 683-8504, Japan

    Toru Okano, Makoto Enokida, Ryoji Otsuki & Ryota Teshima

  2. School of Health Science, Faculty of Medicine, Tottori University, Yonago, Japan

    Hiroshi Hagino

Authors
  1. Toru Okano
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Makoto Enokida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ryoji Otsuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hiroshi Hagino
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ryota Teshima
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Toru Okano.

About this article

Cite this article

Okano, T., Enokida, M., Otsuki, R. et al. Recent trends in adult-onset septic arthritis of the knee and hip: retrospective analysis of patients treated during the past 50 years. J Infect Chemother 17, 666–670 (2011). https://doi.org/10.1007/s10156-011-0244-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10156-011-0244-z

Keywords

Search

Navigation